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Heart Failure with Reduced Ejection Fraction (HFrEF)

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Systolic Heart Failure -Definition / Diagnostic criteria reviewed. -Classification reviewed: -Nonpharmacologic & pharmacologic treatments reviewed.   Important Links ProBNP is low in Obese Patients. BNP and NT-pro BNP. Chronic Heart Failure Classification and...

Hypernatremia, Acute

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

-Patient with hypernatremia. Likely Acute hypernatremia. Unlikely to be chronic hypernatremia. -Water deficit developed in less than 48 hours. -Will correct hypernatremia rapidly.

Elevated Creatinine

Clinic A/P, adults, Clinic A/P, Peds

Differential diagnosis of Elevated Creatinine http://www.aafp.org/afp/2012/1001/p631.html https://www.ncbi.nlm.nih.gov/pubmed/16825087

Death Pronouncement: Declaring someone dead.

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

“Death is usually an easy diagnosis. If death is uncertain, lack of pulse, breath sounds, and heartbeat will usually suffice.” Stanford Palliative Care Pronouncement Procedure Clinical Examination The patient was identified by checking the hospital ID...

Death: Diagnosis of Brain Death

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

*** https://www.aan.com/Guidelines/Home/GetGuidelineContent/815. This page from the American Academy of Neurology gives an approach for determining brain death. Determining Brain Death in Adults. This is the same article. Brain death means the permanent absence of...

Orthostatic Hypotension

CARDIOLOGY, Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Differential diagnosis reviewed. Orthostatic vitals. Medication review was done. All offending medications discontinued. Patient instructed to take offending meds that can’t be discontinued at bedtime, e.g. BP medications. Head-up tilt-table testing. Patient...
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